Obesity and the GI Tract
Maintaining Your Gastrointestinal Health
While gastrointestinal diseases and disorders are seen more commonly in overweight and obese individuals than in normal weight individuals, there are no current recommendations for extra testing of organs in the absence of gastrointestinal symptoms or pre-existing laboratory abnormalities.
Weight loss is a recommended strategy to prevent the symptoms related to some gastrointestinal diseases such as GERD and hiatal hernia, and to decrease the risk of progression of diseases such as nonalcoholic fatty liver disease (NAFLD), recurrent colorectal adenomas and colorectal cancer.
The American College of Gastroenterology recommends that all average risk Americans age 50 and older undergo colorectal cancer screening with colonoscopy. African Americans should begin screening at age 45. Since colorectal cancer and precancerous polyps are more common in overweight and obese individuals extra efforts should be made for these individuals to have colonoscopy at the age of 50 years, if not sooner. Talk to your doctor.